Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $4,365.16 / $6,918.31	Facility		$1,258.93	$4,365.16	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,258.93 / $1,659.59	Professional		$1,174.90	$1,258.93	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,951.21 / $3,715.35	Professional		$2,818.38	$2,951.21	$3,715.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,778.28 / $3,467.37	Facility		$1,513.56	$1,778.28	$3,467.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $2,187.76 / $9,332.54	Professional		$1,174.90	$2,187.76	$9,332.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,754.23 / $2,818.38	Professional		$2,511.89	$2,754.23	$2,818.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Professional		$2,511.89	$2,511.89	$2,511.89
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,089.30 / $2,454.71	Professional		$1,412.54	$2,089.30	$2,454.71
United Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Facility		$4,466.84	$4,466.84	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,344.23 / $3,388.44	Professional		$1,348.96	$2,344.23	$3,388.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,818.38 / $2,884.03	Professional		$2,398.83	$2,818.38	$2,884.03